OROFACIAL FITNESS
NPI 1962035261
Specialist in Lafayette, CA

NPI Status: Active since February 15, 2020

Contact Information

3799 MT DIABLO BLVD UNIT 200
LAFAYETTE, CA
ZIP 94549
Phone: (925) 962-7450

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  • Organization
  • Specialist

About OROFACIAL FITNESS

This page provides the complete NPI Profile along with additional information for Orofacial Fitness, a provider established in Lafayette, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1962035261 assigned on February 2020. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Orofacial Fitness. The authorized official of this NPI record is Nerissa T Boggan Rdh (Rdh)

NPI
1962035261
Provider Legal Name
ICBOGGAN, INC
Other Organization Name
OROFACIAL FITNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3799 MT DIABLO BLVD UNIT 200 LAFAYETTE, CA 94549
Location Phone
(925) 962-7450
Mailing Address
3799 MT DIABLO BLVD STE 200 LAFAYETTE, CA 94549
Mailing Phone
(925) 962-7450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2020
Last Update Date
07-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1124Q00000XDental Providers

Dental Hygienist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NERISSA T BOGGAN RDH

Authorized Official Title
RDH
Authorized Official Phone
(925) 962-7450

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962035261
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291220310212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 3 + 1 + 0 + 2 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1962035261 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962035261, enumerated in the NPI registry as an "organization" on February 15, 2020

The provider is located at 3799 Mt Diablo Blvd Unit 200 Lafayette, Ca 94549 and the phone number is (925) 962-7450

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on February 15, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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